MR. AVERY LUCAS BERRY (M.ED., NCC, ALC) – Mental Health Counselor, NPI 1659859676

MR. AVERY LUCAS BERRY (M.ED., NCC, ALC) is a healthcare provider. based in Montgomery, Alabama. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials M.ED., NCC, ALC. They hold a License No. C3213A (AL). The NPI Number for MR. AVERY LUCAS BERRY (M.ED., NCC, ALC) is 1659859676

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
MR. AVERY LUCAS BERRY (M.ED., NCC, ALC)
NPI
1659859676
Phone
Not provided
Address
2911 ZELDA RD
Enumeration Date
1 August 2018
Last Update Date
1 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3342627787
Graduation Year
2018 (8 years ago)
PAC ID
8325564354
Group Practice PAC ID
7113922063
Professional Enrollment ID
I20250502000350
Address ID
AL361062648MO2911XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

390 MENTAL HEALTH COUNSELOR in AL

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Provider Addresses for MR. AVERY LUCAS BERRY (M.ED., NCC, ALC)

  • 2911, Zelda Road, Grove Hill, Montgomery, Montgomery County, Alabama, 36106, United States

    MONTGOMERY, AL 361062648

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250502000350IMental Health CounselorALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36106)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113922063View full group profile
NameSpecialtyState
Clinical PsychologistAL
Mental Health CounselorAL
Clinical PsychologistAL

Reviews

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Frequently asked questions

What identifier follows MR. AVERY LUCAS BERRY (M.ED., NCC, ALC) across health systems?
The NPI 1659859676 uniquely identifies MR. AVERY LUCAS BERRY (M.ED., NCC, ALC) in U.S. healthcare data.
Is MR. AVERY LUCAS BERRY (M.ED., NCC, ALC) currently accepting referrals based on NPI status?
Registry metadata lists MR. AVERY LUCAS BERRY (M.ED., NCC, ALC) as active.
What does the directory say MR. AVERY LUCAS BERRY (M.ED., NCC, ALC) does?
Insurance directories may phrase it differently, but here MR. AVERY LUCAS BERRY (M.ED., NCC, ALC) maps to Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Which community is linked to MR. AVERY LUCAS BERRY (M.ED., NCC, ALC)?
MR. AVERY LUCAS BERRY (M.ED., NCC, ALC) shows a connection to Montgomery, Alabama in registry-derived data.
Can I export MR. AVERY LUCAS BERRY (M.ED., NCC, ALC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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